| NPI | 1275586281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R DURRWACHTER Owner 570-601-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD045039L) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-01-13 |